目的总结小儿重型颅脑损伤院前救治经验。方法回顾性分析北京市怀柔区第一医院院前救治的50例小儿重型颅脑损伤病例。结果 50例小儿重型颅脑损伤病例经现场及时救治,途中严密观察及正确治疗,全部安全转运至院急诊科,无1例患儿死亡。结论重型颅脑损伤患儿施行正确及时的院前救治,可以避免途中死亡,为患儿的后续治疗开通绿色通道。 Objective To summarize the experience of pre-hospital treatment of pediatric severe craniocerebral injury. Methods Retrospective analysis of 50 cases of pediatric severe craniocerebral injury in Beijing Huairou District First Hospital. Results 50 cases of pediatric severe craniocerebral injury were treated promptly on the scene. The patients were closely observed and correctly treated. All the patients were safely transported to the hospital for emergency and emergency. No child died. Conclusions Children with severe craniocerebral injury have proper and timely pre-hospital care to avoid the death on the way and to provide a green channel for the follow-up of children.